1. health and fitness

DIRECTOR OF HEALTH SERVICES ­ SONOMA COUNTY
[Santa Rosa, CA]
DIRECTOR OF HEALTH SERVICES
County of Sonoma, CA
(Santa Rosa, CA)
DIRECTOR OF HEALTH SERVICES ­ SONOMA COUNTY
[Santa Rosa, CA]
Petaluma, Rohnert Park, Windsor, Healdsburg, Sonoma, Cloverdale,
Sebastopol and Cotati.
The County’s economy is extremely diverse, relying on agriculture,
tourism, manufacturing, services and high technology industries.
Agriculture (including wine grapes and livestock/poultry) and tourism are
two of the major drivers of the Sonoma County economy. The tourism
industry generates over $1.4 billion annually, with more than seven million
visitors each year. While home prices reflect the value of living in an area that offers an
abundance of amenities, the prices of Sonoma County homes remain one
of the last true real estate bargains in the greater Bay Area. Local schools
continually rank high on California’s Academic Performance Index. Higher
education opportunities are available at Santa Rosa Junior College and
Sonoma State University, among other institutions. Healthcare resources
include Sutter Medical Center of Santa Rosa, St. Joseph Health System,
and Kaiser­Permanente, in addition to others.
THE COUNTY GOVERNMENT
The County’s mission is to enrich the quality of life in Sonoma County
through superior public services. The Board is fully committed to a
mission and vision that value the highest quality customer service, strong
leadership, engaged citizen participation, courteous and prompt
assistance, providing valuable and complete information, and creating
and preserving efficient and cost effective government. The County
Administrator leads a team of dedicated department heads who work
collaboratively to address and strategically prepare for County initiatives
and challenges. The four Strategic Plan Goal Areas the County is focused
on include: Safe, Healthy and Caring Community; Economic and
Environmental Stewardship; Investment in the Future; and Civic Services
and Engagement.
Sonoma is a general law county. The County Board of Supervisors is the
governing body of the County and various special jurisdictions. The five
members of the Board are elected by district, on a non­partisan basis, for
four­year staggered terms. The FY2014­15 County budget is $1.4 billion
with 4,009 full time equivalent staff positions.
THE DEPARTMENT
THE AREA
Sonoma County is located less than 30 miles north of San Francisco, at
the threshold between the commerce­driven San Francisco Bay Area and
the spectacular beauty of northern California. The County extends over
1,500 square miles with a diverse economy that includes a world class
wine region, stunning natural resources, and dozens of tourist
destinations. Residents all over Sonoma County enjoy a unique quality of
life with access to cultural events, an academic community, economic
opportunity, and low crime rates.
In addition to over 200 award­winning wineries, Sonoma County boasts
scenic coastline and beaches, the winding Russian River, majestic
redwoods, 21 challenging golf courses, museums, galleries, diverse
festivals, fine dining, and charming inns and spas. The County
encompasses more than one million acres of land and water, rich in scenic
beauty with an array of parks, recreational facilities, campsites and lakes.
Open space and agricultural land account for a great majority of Sonoma
County acreage.
Sonoma County is home to over 490,000 people, with approximately 35 percent of the population residing in Santa Rosa, the County seat.
That city was also recently named as one of the nation’s “most livable
communities” by Partners for Livable Communities. A majority of the
County’s residents (approximately 70 percent) live within the city limits of
the County’s nine cities. They are, in order of population: Santa Rosa,
The Department of Health Services is an innovative and value driven
organization that fully embraces its vision of leading, collaborating and
succeeding in making Sonoma County the healthiest county in California.
The Department’s mission is to promote and protect the health and well
being of every member of the community. To actualize this mission, the
Department provides direct services, builds and manages strategic
partnerships, and develops and advocates for sound policies that help
achieve community health needs. The Department is comprised of four divisions:
Administration – Human Resources, Staff Development and
Accreditation; Fiscal Services; and Facilities. (Note: Separate from
Administration, but also under the Assistant Director of Health
Services, are the following: Compliance, Privacy & Risk Management;
Contracts, Board Items Development Unit; and Program, Planning and
Support.)
Public Health – Family Health Services; Animal Care & Control; Early
Childhood Development; Environmental Health; and Disease Control,
Public Health Lab, Preparedness, Coastal Valleys Emergency Medical
Services Agency, and Juvenile Probation Health; and Program, Planning
& Support. Behavioral Health – Mental Health Medical Director; Acute/Forensics
Services; Adult, Youth & Family Services; Substance Use Disorder and
DIRECTOR OF HEALTH SERVICES ­ SONOMA COUNTY
[Santa Rosa, CA]
Recovery Services; Community Mental Health Services; and Program,
Planning & Support. Health Policy, Planning and Evaluation – Information Technology;
Healthy Communities; Policy, Strategy & Evaluation; and Program,
Planning & Support.
The divisions are fully integrated and work seamlessly to improve health
and community wellbeing in the following areas: Children and Family Services – Incorporates services to children
throughout the Department, including therapeutic services, psychiatric
crisis prevention and intervention, First 5 Sonoma County, Maternal
Child and Adolescent Health, and other aspects of Family Health
Services.
Adult Services – Incorporates services to adults including therapeutic
services, crisis intervention, alcohol and drug treatment, case
management, and disease prevention and early intervention. Community Health and Safety – Incorporates services across the
Divisions, including Animal Care and Control Services; Environmental
Health; Health Action and place­based approaches to health; crisis
intervention training and mobile response and prevention strategies;
and other prevention strategies to reduce health disparities. Emergency Medical Preparedness – Includes Coastal Valley emergency
medical services, Behavioral Health’s Mobile Support Team, and Pubic
Health Emergency Preparedness.
Disease Control and Clinical Services – Includes Public Health disease
control, surveillance and laboratory services, and direct clinical services
such as sexual assault response and medical behavioral health services
provided in Juvenile Hall and the County jail.
The Department has a FY2014­15 operating budget of $239 million with
approximately 590 full time equivalent staff.
The Department’s leadership and culture is value driven, supportive and
engaging. This creates an environment that encourages individuals to
contribute, achieve and flourish. The Department embraces and supports
the County’s Leadership Philosophy, focusing on the following eight areas:
1) initiative, 2) results orientation, 3) interpersonal relationships, 4) problem solving, 5) development of others, 6) role and holistic systems
perspective, 7) organizational political savvy, and 8) public service
orientation and credibility.
KEY CHALLENGES AND OPPORTUNITIES
Some of the immediate priorities facing the Director of Health Services
include:
Support the Health Action Council’s work to “Be the Healthiest County
in California by 2020.”
Implement and sustain a model of quality improvement across the
Department to obtain national accreditation.
Implement the Portrait of Sonoma County Agenda for Action
(www.sonoma­county.org/health/publications/portrait­of­sonoma­
county.asp).
Fully implement parity in Behavioral Health Services, providing access
to integrated quality mental health and substance use disorder services
by all.
Expand partnerships to increase access to integrated quality,
prevention­focused primary care and complex care coordination.
Develop funding sources (e.g., obtain grants to leverage County
resources) for prevention and health equity, including innovative models
such as wellness trusts and social impact bonds.
Ensure the Department is organized to handle the highly complex
financing and programs of the Department.
Align services with community needs and expand community
engagement supporting place­based strategies for community health
improvement.
Invest in infrastructure and systems that improve efficiency,
effectiveness and transparency.
Expand Animal Services quality improvement, community engagement
and partnerships.
Maximize access and quality healthcare for eligible County residents,
which includes strengthening access to healthcare providers for
undocumented immigrants and the poor.
Maintain collaboration with the County’s Department of Human
Services, as the County is not intending to merge the two departments.
Be actively involved with community based organizations and others
providing direct delivery of health services, as the County does not
directly operate any clinics or have a hospital. Create community
DIRECTOR OF HEALTH SERVICES ­ SONOMA COUNTY
[Santa Rosa, CA]
communication, decision making and accountability; develops and
implements administrative policies and procedures.
Directs the research, analysis and formulation of the Department
budget; determines Departmental budget priorities; prepares and
justifies program and budget recommendations to the County
Administrator and the Board of Supervisors; ensures that budget
expenditures are properly controlled.
Submits estimates of facility requirements with estimated costs and
time lines for relocation and/or modifications.
Establishes and evaluates monitoring and evaluation systems;
establishes measurable standards for reviewing the success of the plan
and the new systems and services. partnerships (e.g., preserve Development Center, birthing centers and
other local health centers).
Seek to resolve long­standing issues (e.g., fluoridation of water,
vaccinations, pricing of tobacco, and animal control).
Additional Departmental priorities and objectives are set forth in the
Department’s Strategic Plan (http://www.sonoma­county.org/
health/publications/pdf/strategicplan.pdf) and the FY 2014­15 budget
( h t t p : // w w w . s o n o m a ­ c o u n t y. o r g / a u d i t o r / p d f / f y _ 2 0 1 4 ­
2015_adopted_budget.pdf).
THE POSITION
Under general policy direction of the Board of Supervisors and the
County Administrator, the Director of Health Services provides leadership
and administrative policy direction for programs and services of the
Department of Health Services; and performs related duties as required. The Director of Health Services is in a position of trust and confidence and
serves as the department head and appointing authority for all
employees in the Department of Health Services except for the Public
Health Officer who, by law, is appointed by the Board of Supervisors. The
Director of Health Services reports to the Board of Supervisors through
the County Administrator to provide advice and consultation on all
matters related to the requirements of the Department and the
administrative performance of the Public Health Officer. The Director of
Health Services has been delegated authority and is held accountable for
the overall resource development and administration of all programs,
services and employees of the Department of Health Services. Work is
performed with a maximum amount of independent judgment and
initiative within broad policy objectives established by the Board of
Supervisors and the County Administrator. The incumbent serves a one­year probationary period.
Typical duties of the position include, but are not limited to:
Provides leadership and administrative policy direction; coordinates
administration of all Departmental divisions; evaluates performance of
subordinate managers; conducts meetings and conferences with
Department staff; advises the Board of Supervisors regularly of health
services issues.
Develops an organizational chart which identifies Department divisions
and sections with an explanation of how authority will be delegated
and work will flow; develops and recommends changes as necessary;
refines management structure with particular attention to lines of
Interviews and selects top management staff; reviews and approves
staff training program; recommends changes in position classification
consistent with organizational structure; evaluates the performance of
subordinate managers; approves or disapproves merit salary increases;
adjusts employee grievances within limits of delegated authority; has
authority to hire and discharge in the Health Services Department;
delegates authority and holds subordinate managers accountable for
the efficient administration of their divisions or sections. Reviews and approves Board of Supervisors' agenda items, personnel,
operational and budgetary actions recommended by Division
Directors. Coordinates the administration of public health, mental health and
environmental health divisions; initiates, implements and reconciles
management practices and policies; consults with the Public Health
Officer concerning medical protocols that affect the delivery of public
health, mental health and environmental health services; approves
changes and modifications recommended by the Public Health Officer
and ensures intra­departmental communication and implementation of
changes and modifications of protocols. Advises the Board of Supervisors and the County Administrator of any
changes in state laws or regulations that will have an impact on the
delivery of public health, mental health and environmental health
services; provides the Board of Supervisors and the County
Administrator with specific plans, costs and recommendations needed
to meet legal requirements. Establishes and maintains effective communication and working
relationships with related County departments and key officials of
state, federal and local agencies. DIRECTOR OF HEALTH SERVICES ­ SONOMA COUNTY
[Santa Rosa, CA]
With concurrence of the Board of Supervisors and the County
Administrator, seeks and applies for grants in aid to improve or enhance
the delivery of mental health, public health and environmental health
services. Coordinates preparation and release to the media of information related
to the programs and services of the Department of Health Services. Coordinates and directs the provision of technical and professional
assistance to other County departments, other health agencies,
businesses and members of the general public on matters affecting the
health and safety of the citizens of Sonoma County. Serves as the local Mental Health Director, or may delegate authorities
and responsibilities. Conducts meetings and conferences with Department staff; interprets
policies, rules and regulations to staff members; allocates and
reallocates Department resources to meet mental health, public health
and environmental health service needs; analyzes difficult management
and fiscal problems, considers available options, evaluates possible
solutions, selects an appropriate solution and implements a decision to
resolve the problem.
The position will be open due to the forthcoming retirement of the
incumbent, Rita Scardaci, who has been the Director of Health Services
since 2005.
THE CANDIDATE
Education and Experience
Desire a combination of education and experience that would provide
the knowledge and abilities listed below. Typically, this would include: 1) a graduate degree, from an accredited college or university, in health
care administration, public administration, hospital administration,
business administration or a closely related field; and 2) five years of
increasingly responsible experience managing a health services
organization or a large division of such organization. Must meet the standards contained in the California Administrative
Code, Title IX, Section 620. Candidates from all geographic areas will be considered, although
California experience would be a plus. Public sector experience is
required (city, county, healthcare special district, state or federal). A stable job history is important. Desire experience with an organization with a similar scope of services.
Should have experience with: 1) finance and budgeting, 2) behavioral
health programs, 3) actively working with community based
organizations, 4) demonstrated success with complex service delivery
methods, and 5) insuring compliance with regulatory programs.
Knowledge, Skills and Abilities
The selected candidate should have knowledge of: Modern personnel, financial and program management processes and
procedures required to effectively plan, organize and direct a Health
Services Department.
The social and economic problems that have an impact on the public
health, mental health, and environmental health of the community.
Communications and conflict resolution techniques.
In addition to having strong interpersonal, written and oral communication
skills, this person should be able to:
Evaluate the performance of subordinates, identify behavior and
performance problems, communicate appropriate employment
standards to affected employees, and hold those employees to the
standards.
Analyze management problems, to reach practical conclusions, and
institute effective changes.
Develop and update Departmental rules, regulations and policies.
Federal, state and local laws, ordinances, rules and regulations relating
to the management and operations of a Health Services Department.
Research methodology, report writing and basic statistics. Modern organizational and planning techniques used to manage a
multi­service health services agency. Direct or prepare comprehensive, clear written reports and oral
presentations containing alternate solutions and recommendations
regarding specific resources, plans and policies.
Establish and maintain effective professional and working relationships
with the Board of Supervisors, the County Administrator, other County
department heads, subordinates, community groups, medical
DIRECTOR OF HEALTH SERVICES ­ SONOMA COUNTY
[Santa Rosa, CA]
professionals, other health agencies, the general public and others
who have an interest in health services issues.
Understand and appreciate differing views on the role of the
Department of Health Services in the management of sensitive health
services issues.
At this point of the Affordable Care Act implementation, it is important
for the Director of Health Services to be able to motivate and lead a
group of dedicated, knowledgeable and talented staff through
organizational change and continual improvement, to best serve the
health needs of the community.
Management Style and Personal Traits
The ideal candidate will be a creative and strategic leader with the
expertise to build upon past successes, the vision to imagine new
opportunities, and the strength of character to inspire and mobilize
necessary resources. This person will have excellent communication
skills and demonstrated experience successfully engaging key
stakeholders to invest in and support a shared vision for the Department
and community.
This person should be an experienced organizational leader who has
mastered the art of collaboration, takes initiative and is solution and
results oriented, is an excellent and diplomatic communicator, and who
successfully develops and nurtures relationships. The ideal candidate
will successfully manage competing demands and interests, have a
strong public service orientation, and a passion for supporting the
diverse social, ethnic and cultural values of the community.
The Board of Supervisors is looking for a leader with a clear vision who
empowers staff (is able to delegate and monitor performance), is
collaborative, and is attentive to details, but not a micro­manager.
He/She should keep the Board informed in a timely and accurate
manner, manage the complex financing and diverse programs of the
Department, monitor outsourced delivery (e.g., Sutter Health), and trust
the community to drive priorities.
This person should be visionary (able to think “outside of the box”),
innovative, willing to take reasonable risks, and non­bureaucratic, but
able to oversee a bureaucracy. Ideally, the Director of Health Services
will be mature, patient and thoughtful, have a global perspective, and be
hardworking, energetic and politically aware.
Retirement: County Retirement Act of 1937. Retirement is fully
integrated with Social Security. With the recent pension reform, new
employees as defined and eligible will receive a 2.5% at 67 formula or,
for those individuals who meet certain criteria, including establishing
reciprocity and pursuant to PEPRA, will receive 3% at 60.
Incentive Retirement Savings Plan: A defined contribution 401(a) plan; a 1% County contribution, and up to an additional County
contribution of 2% of base salary as a match of employee
contributions.
IRS 457 Plan: Pre­tax employee contribution up to the IRS annual
maximum.
Retiree Medical: County contribution to a Health Reimbursement
Arrangement to help fund post­retirement employee health
insurance/benefits.
Additional details on benefits for management employees may be
found at http://hr.sonoma­county.org/documents/salary_resolution.pdf.
Note: The benefits described herein do not represent a contract and
may be changed without notice.
COMPENSATION
Excellent dental, vision, disability, life insurance, professional
development and more. Equal Opportunity/ADA Employer
Additional information about the
County can be found on their website
at www.sonomacounty.ca.gov.
OM
CO
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A
Y
A cash allowance (in addition to monthly salary) of approximately
$600 per month, and a vehicle allowance of $215 per pay period.
PO Box 16692
Beverly Hills, CA 90209
Telephone: (818) 783­7752
Fax: (818) 783­6377
Email: robertsrcg@msn.com
Web: www.robertsrcg.com
NT
Health Plan: Choice of three health plans (PPO, EPO and HMO) with
a County contribution toward the premium of approximately $500 per month.
Send resumes by June 8, 2015 (email preferred) to:
N
Paid Time Off: Competitive vacation accrual and additional
management leave annually; 11 holidays per year; generous sick leave
accruals and 100% of accrual balance converted to service credit at
retirement.
HOW TO APPLY
SO
Sonoma County offers a competitive total compensation package. The
salary for this position is open, with hiring dependent upon the
qualifications and experience of the selected candidate. In addition, the
County offers the following: CALIFORN
IA
REPUBLIC
A G R I C U LT U R E
INDUSTRY
R E C R E AT I O N